Individual
DONALD LEE COOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4902 EISENHOWER BLVD STE 295, TAMPA, FL 33634-6323
(813) 290-8560
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
SW16776
FL
Other
Enumeration date
10/25/2019
Last updated
04/27/2022
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